Grado de satisfacción de médicos y pacientes en atención primaria con un nuevo esquema asistencial neumológico
Primary care physicians' and patients' degree of satisfaction with a new respiratory medicine health care program
V. Plaza
, G. Rodríguez Trigo, M. Peiró, S. Fernández, T. Nolla, J. Puig, J. Sanchis
Corresponding author
vplaza@hsp.santpau.es
Correspondencia: Departament de Pneumologia. Hospital de la Santa Creu i Sant Pau.Sant Antoni M. Claret, 167. 08025 Barcelona. España
Correspondencia: Departament de Pneumologia. Hospital de la Santa Creu i Sant Pau.Sant Antoni M. Claret, 167. 08025 Barcelona. España
Departament de Pneumologia. Hospital de la Santa Creu i Sant Pau. Centro de Atención Primaria Maragall. Barcelona. España
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Peiró, S. Fernández, T. Nolla, J. Puig, J. Sanchis" "autores" => array:7 [ 0 => array:4 [ "nombre" => "V." "apellidos" => "Plaza" "email" => array:1 [ 0 => "vplaza@hsp.santpau.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Rodríguez Trigo" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Peiró" ] 3 => array:2 [ "nombre" => "S." "apellidos" => "Fernández" ] 4 => array:2 [ "nombre" => "T." "apellidos" => "Nolla" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Puig" ] 6 => array:2 [ "nombre" => "J." "apellidos" => "Sanchis" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Departament de Pneumologia. Hospital de la Santa Creu i Sant Pau. Centro de Atención Primaria Maragall. Barcelona. España" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Departament de Pneumologia. Hospital de la Santa Creu i Sant Pau.Sant Antoni M. Claret, 167. 08025 Barcelona. España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Primary care physicians' and patients' degree of satisfaction with a new respiratory medicine health care program" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-02-18" "fechaAceptado" => "2002-07-16" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190528" "palabras" => array:4 [ 0 => "Consultas ambulatorias" 1 => "Medicina de atención primaria" 2 => "Neumología" 3 => "Relación medicina general y medicina hospitalaria" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190527" "palabras" => array:4 [ 0 => "Outpatient clinics" 1 => "Primary care" 2 => "Respiratory medi-cine" 3 => "Relations between primary and hospital care" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento Y Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Aún no existe un esquema de relación asistencial óptimo entre la medicina de atención primaria y la neumología. El objetivo de este estudio es pre-sentar y evaluar el grado de satisfacción con un nuevo es-quema de relación entre neumología y la medicina de aten-ción primaria</p> <span class="elsevierStyleSectionTitle">Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Valorar por encuesta el grado de satisfacción de un esquema mixto, de consultoría y atención directa del pa-ciente. El estudio se efectuó en un centro de atención primaria cuya plantilla estaba formada por 31 médicos generales. La de neumología constaba de un médico y dos enfermeras que pro-venían del hospital de referencia. Se determinó el grado de satis-facción de los médicos y de 60 pacientes respecto del esquema mediante una encuesta que incluyó: a) valoración global por puntuación de 0 a 10; b) valoración por escala discriminante de 5 niveles (de muy mala a muy buena), y c) comparación del nuevo esquema evaluado respecto a los previos</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se atendió a 1.170 pacientes en 12 meses; 663 (57%) en primera visita, 400 (34%) en segunda visita y 107 (9%) urgentes. El grado de satisfacción con el esquema asis-tencial se puntuó con una media de 7,8 (1,2) por los médicos y de 8,7 (1,5) por los pacientes (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,030); el 97% de los médi-cos y el 94% de los pacientes lo calificaron de ”muy bueno“ o ”bueno“, y lo consideraron mejor que el esquema tradicional el 100% de los médicos y el 64% de los pacientes (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,110)</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El esquema asistencial neumológico plan-teado es mayoritariamente aceptado por médicos y pacien-tes. La acción asistencial conjunta que propugna agiliza la utilización de los recursos en la actividad neumológica ex-trahospitalaria</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">No ideal model for coordinating primary care and specialized respiratory medicine has been established</p> <span class="elsevierStyleSectionTitle">Objective</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">To evaluate primary care physicians' and patients' degree of satisfaction with a new program for coordi-nating respiratory medicine and primary care</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A questionnaire survey of the level of satisfaction with a program combining consultation and direct patient care. The study was carried out at a primary care facility whose staff comprised 31 general practitioners. The respira-tory medicine staff consisted of one physician and two nurses from the reference hospital. A questionnaire to determine the physicians' and patients' satisfaction with the program asked for a) overall evaluation on a scale of 0 to 10; b) evaluation on a scale naming five levels from ”very bad“ to ”very good“, and c) comparison of the new program with previous ones</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">One thousand one hundred seventy patients were seen in 12 months; 663 (57%) received a first visit, 400 (34%) received a second visit, and 107 (9%) received emer-gency care. The level of satisfaction was 7.8 (1.2) among physicians and 8.7 (1.5) among patients (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.030); 97% of the physicians and 94% of the patients described the program as ”very good“ or ”good“. According to 100% of the physicians and 64% of the patients, the new program was better than the old one (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.110)</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The coordinated care plan proposed is ac-cepted by most physicians and patients and uses primary respiratory medicine resources more efficiently</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:24 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Relaciones de la neumología con la medicina de atención primaria" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "P. Martín Escribano" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2000" "volumen" => "37" "paginaInicial" => "295" "paginaFinal" => "297" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11562313" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Recomendaciones SEPAR-semFYC para la atención del paciente con asma" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S. Bardagí" 1 => "E. Calvo" 2 => "P. Casán" 3 => "A. De Diego" 4 => "E. Cimas" 5 => "E. Hernández" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1998" "volumen" => "34" "paginaInicial" => "394" "paginaFinal" => "399" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9803277" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Recomendaciones para la atención al paciente con enfermedad pulmonar obstructiva crónica" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.L. Álvarez-Sala" 1 => "E. Cimas" 2 => "J.F. Masa" 3 => "M. Miravitlles" 4 => "J. Molina" 5 => "K. Naberan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2001" "volumen" => "7" "paginaInicial" => "269" "paginaFinal" => "278" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalencia de la enfermedad pulmonar obstructiva crónica y del asma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "B. Brotons" 1 => "J.A. Pérez" 2 => "F. Sánchez-Toril" 3 => "S. Soriano" 4 => "J. Hernández" 5 => "J.L. Belenguer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1994" "volumen" => "30" "paginaInicial" => "149" "paginaFinal" => "152" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8186908" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Estudio IBERPOC en España: prevalencia de síntomas respiratorios habituales y de limitación crónica al flujo aéreo" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "V. Sobradillo" 1 => "M. Miravitlles" 2 => "C.A. Jiménez" 3 => "R. Gabriel" 4 => "J.L. Viejo" 5 => "J.F. Masa" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1999" "volumen" => "35" "paginaInicial" => "159" "paginaFinal" => "166" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10330536" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Estudio Europeo del Asma. Prevalencia de hiperreactividad bronquial y asma en adultos jóvenes de cinco áreas españolas" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "Grupo Español del Estudio Europeo del Asma" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Med Clin (Barc)" "fecha" => "1996" "volumen" => "106" "paginaInicial" => "761" "paginaFinal" => "767" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Patologías crónicas y gasto farmacéutico en personas mayores de 65 años" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:5 [ 0 => "X.M. Segade" 1 => "A. García" 2 => "L. Cinos" 3 => "X.L. Casais" 4 => "E. Nieto" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Aten Primaria" "fecha" => "1992" "volumen" => "10" "paginaInicial" => "613" "paginaFinal" => "616" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1511110" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tratamiento de la bronquitis crónica y la EPOC en atención primaria" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M. Miravitlles" 1 => "C. Murio" 2 => "T. Guerrero" 3 => "J.L. Segú" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1999" "volumen" => "35" "paginaInicial" => "173" "paginaFinal" => "178" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10330538" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Treatment of chronic obstructive pulmonary disease and its exacerbations in general practice. EOLO Group" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M. Miravitlles" 1 => "C. Mayordomo" 2 => "M. Artes" 3 => "L. Sánchez-Agudo" 4 => "F. Nicolau" 5 => "J.L. Segú" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Estudio Observacional de la Limitación Obstructiva al Flujo Aéreo. Respir Med" "fecha" => "1999" "volumen" => "93" "paginaInicial" => "173" "paginaFinal" => "179" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Management of asthma and COPD patients: feasibility of the application of guidelines in general practice" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.P. Jans" 1 => "F.G. Schellevis" 2 => "W. Van Hensbergen" 3 => "T. Dukkers van Emden" 4 => "J.T. Van Eijk" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Int J Qual Health Care" "fecha" => "1998" "volumen" => "10" "paginaInicial" => "27" "paginaFinal" => "34" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10030784" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A comparison of primary care physicians and pneumologists in the management of asthma in Spain. ASES Study 2002" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. López-Viña" 1 => "C. Picado" 2 => "J.E. Cimas" 3 => "C. Díaz" 4 => "G. Coria" 5 => "O. Vegazo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "Respiratory Med" "fecha" => "2003" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical management of asthma in 1999: the Asthma Insights and Reality in Europe (AIRE) study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "K.F. Rabe" 1 => "P.A. Vermiere" 2 => "J.B. Soriano" 3 => "W.C. Maier" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "2000" "volumen" => "16" "paginaInicial" => "802" "paginaFinal" => "807" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11153575" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Características clínicas y morbilidad en el asma estable" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "V. Plaza" 1 => "J. Serra-Batlles" 2 => "E. Morejón" 3 => "A. Comella" 4 => "J. Brugués" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1997" "volumen" => "33" "paginaInicial" => "457" "paginaFinal" => "461" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9424263" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Specialty differences in the management of asthma. A cross-sectional assessment of allergists' patients and generalists' patients in a large HMO" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "W.M. Vollmer" 1 => "M. O'Hollaren" 2 => "K.M. Ettinger" 3 => "T. Stibolt" 4 => "J. Wilkins" 5 => "A.S. Buist" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Inter Med" "fecha" => "1998" "volumen" => "157" "paginaInicial" => "1201" "paginaFinal" => "1208" ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The management of asthma: a case-scenario-based survey of family physicians and pulmonary specialists" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L.C. Cicutto" 1 => "H.A. Llewellyn-Thomas" 2 => "W.H. Geerts" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Asthma" "fecha" => "2000" "volumen" => "37" "paginaInicial" => "235" "paginaFinal" => "246" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10831148" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ganancia, pérdida y concordancia en el diagnóstico de asma entre neumólogos y no neumólogos" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C. Pellicer" 1 => "R. Ramírez" 2 => "M. Perpiñá" 3 => "M.J. Cremades" 4 => "J. Fullana" 5 => "I. García" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2001" "volumen" => "37" "paginaInicial" => "171" "paginaFinal" => "176" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11412501" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "La consulta única o de alta resolución como un alternativa de eficiencia a las consultas externas hospitalarias tradicionales" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.L. Zambrana García" 1 => "B. Jiménez-Ojeda" 2 => "M. Marín Patón" 3 => "S. Almazán González" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Med Clin (Barc)" "fecha" => "2002" "volumen" => "118" "paginaInicial" => "302" "paginaFinal" => "305" ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0090" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Manejo de la enfermedad pulmonar obstructiva crónica en la medicina primaria" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "L. Sánchez Agudo" 1 => "M. Miravitlles" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1995" "volumen" => "31" "paginaInicial" => "144" "paginaFinal" => "146" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7743057" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0095" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Encuesta de la actitud terapéutica y de control de los médicos generales de las ABS de Barcelona respecto a enfermedades obstructivas respiratorias" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "C. Naberan Toña" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Aten Primaria" "fecha" => "1994" "volumen" => "13" "paginaInicial" => "112" "paginaFinal" => "116" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8167246" "web" => "Medline" ] ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0100" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lung function measurement in general practice. General practice measurements compared with laboratory measurements during the DIMCA trial" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.J. Den Otter" 1 => "M.A. De Bruyn-Schmidt" 2 => "M.J. Wolters" 3 => "C.P. Van Schayck" 4 => "H.T. Folgering" 5 => "H.J. Van Den Hoogen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Fam Pract" "fecha" => "2000" "volumen" => "17" "paginaInicial" => "314" "paginaFinal" => "316" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10934179" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0105" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnosing airflow obstruction in general practice" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "K. Jones" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "1999" "volumen" => "54" "paginaInicial" => "1051" "paginaFinal" => "1052" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10567620" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0110" "etiqueta" => "22." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Características de la demanda asistencial en la consulta ambulatoria de neumología del Área 12 y 13 de Valencia durante el año 1994" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M. León Fábregas" 1 => "E. Cases Viedma" 2 => "C. Rogado González" 3 => "M. Martínez Francés" 4 => "N. Pérez Blanquer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1995" "volumen" => "31" "numero" => "Supl" "paginaInicial" => "86" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7704396" "web" => "Medline" ] ] ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib0115" "etiqueta" => "23." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Perfil de una consulta de neumología de ámbito comarcal" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "C. Pellicer" 1 => "J. Fullana" 2 => "M.J. Cremades" 3 => "M.L. Rivera" 4 => "M. Perpiñá" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1996" "volumen" => "32" "paginaInicial" => "447" "paginaFinal" => "452" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9064082" "web" => "Medline" ] ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib0120" "etiqueta" => "24." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Martín Escribano P, López Encuentra A, Martín García I, Cienfuegos Agustín MI, Caballero Borda C. Patología diagnosticada en una unidad neumológica integrada con su Área de Salud. Comparación con controles históricos. Arch Bronconeumol" ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000003900000002/v1_201307081521/S030028960375323X/v1_201307081521/es/main.assets" "Apartado" => array:4 [ "identificador" => "9277" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000003900000002/v1_201307081521/S030028960375323X/v1_201307081521/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028960375323X?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 6 | 2 | 8 |
| 2024 October | 48 | 21 | 69 |
| 2024 September | 41 | 15 | 56 |
| 2024 August | 61 | 44 | 105 |
| 2024 July | 31 | 25 | 56 |
| 2024 June | 50 | 22 | 72 |
| 2024 May | 48 | 29 | 77 |
| 2024 April | 35 | 25 | 60 |
| 2024 March | 48 | 27 | 75 |
| 2024 February | 41 | 33 | 74 |
| 2024 January | 0 | 2 | 2 |
| 2023 December | 0 | 2 | 2 |
| 2023 November | 0 | 1 | 1 |
| 2023 October | 0 | 1 | 1 |
| 2023 September | 0 | 1 | 1 |
| 2023 July | 0 | 6 | 6 |
| 2023 June | 0 | 1 | 1 |
| 2023 April | 0 | 1 | 1 |
| 2023 March | 4 | 1 | 5 |
| 2023 February | 28 | 20 | 48 |
| 2023 January | 33 | 28 | 61 |
| 2022 December | 30 | 37 | 67 |
| 2022 November | 36 | 23 | 59 |
| 2022 October | 33 | 36 | 69 |
| 2022 September | 26 | 32 | 58 |
| 2022 August | 40 | 44 | 84 |
| 2022 July | 33 | 40 | 73 |
| 2022 June | 24 | 34 | 58 |
| 2022 May | 34 | 28 | 62 |
| 2022 April | 41 | 47 | 88 |
| 2022 March | 38 | 37 | 75 |
| 2022 February | 43 | 22 | 65 |
| 2022 January | 28 | 26 | 54 |
| 2021 December | 19 | 38 | 57 |
| 2021 November | 19 | 42 | 61 |
| 2021 October | 41 | 37 | 78 |
| 2021 September | 25 | 53 | 78 |
| 2021 August | 15 | 38 | 53 |
| 2021 July | 29 | 27 | 56 |
| 2021 June | 24 | 34 | 58 |
| 2021 May | 27 | 38 | 65 |
| 2021 April | 41 | 49 | 90 |
| 2021 March | 58 | 31 | 89 |
| 2021 February | 56 | 12 | 68 |
| 2021 January | 13 | 33 | 46 |
| 2020 December | 19 | 13 | 32 |
| 2020 November | 18 | 20 | 38 |
| 2020 October | 13 | 14 | 27 |
| 2020 September | 12 | 8 | 20 |
| 2020 August | 37 | 8 | 45 |
| 2020 July | 31 | 21 | 52 |
| 2020 June | 16 | 9 | 25 |
| 2020 May | 26 | 14 | 40 |
| 2020 April | 36 | 13 | 49 |
| 2020 March | 26 | 16 | 42 |
| 2020 February | 31 | 20 | 51 |
| 2020 January | 42 | 27 | 69 |
| 2019 December | 35 | 34 | 69 |
| 2019 November | 14 | 15 | 29 |
| 2019 October | 5 | 17 | 22 |
| 2019 September | 26 | 26 | 52 |
| 2019 August | 17 | 11 | 28 |
| 2019 July | 18 | 18 | 36 |
| 2019 June | 17 | 17 | 34 |
| 2019 May | 31 | 46 | 77 |
| 2019 April | 27 | 40 | 67 |
| 2019 March | 20 | 21 | 41 |
| 2019 February | 17 | 18 | 35 |
| 2019 January | 8 | 11 | 19 |
| 2018 December | 26 | 23 | 49 |
| 2018 November | 31 | 11 | 42 |
| 2018 October | 51 | 19 | 70 |
| 2018 September | 25 | 6 | 31 |
| 2018 May | 12 | 2 | 14 |
| 2018 April | 6 | 3 | 9 |
| 2018 March | 14 | 8 | 22 |
| 2018 February | 10 | 6 | 16 |
| 2018 January | 17 | 14 | 31 |
| 2017 December | 16 | 11 | 27 |
| 2017 November | 11 | 7 | 18 |
| 2017 October | 9 | 6 | 15 |
| 2017 September | 8 | 8 | 16 |
| 2017 August | 15 | 15 | 30 |
| 2017 July | 18 | 10 | 28 |
| 2017 June | 21 | 19 | 40 |
| 2017 May | 21 | 15 | 36 |
| 2017 April | 5 | 10 | 15 |
| 2017 March | 11 | 11 | 22 |
| 2017 February | 7 | 6 | 13 |
| 2017 January | 16 | 14 | 30 |
| 2016 December | 49 | 14 | 63 |
| 2016 November | 67 | 29 | 96 |
| 2016 October | 79 | 42 | 121 |
| 2016 September | 63 | 18 | 81 |
| 2016 August | 47 | 8 | 55 |
| 2016 July | 55 | 5 | 60 |
| 2016 June | 57 | 10 | 67 |
| 2016 May | 50 | 10 | 60 |
| 2016 April | 34 | 2 | 36 |
| 2016 March | 32 | 3 | 35 |
| 2016 February | 35 | 3 | 38 |
| 2016 January | 39 | 13 | 52 |
| 2015 December | 40 | 15 | 55 |
| 2015 November | 47 | 9 | 56 |
| 2015 October | 98 | 1 | 99 |
| 2015 September | 57 | 0 | 57 |
| 2015 August | 64 | 0 | 64 |
| 2015 July | 72 | 0 | 72 |
| 2015 June | 44 | 0 | 44 |
| 2015 May | 105 | 0 | 105 |
| 2015 April | 49 | 0 | 49 |
| 2015 March | 63 | 0 | 63 |
| 2015 February | 42 | 0 | 42 |
| 2015 January | 47 | 0 | 47 |
| 2014 December | 29 | 0 | 29 |
| 2014 November | 55 | 0 | 55 |
| 2014 October | 63 | 0 | 63 |
| 2014 September | 79 | 0 | 79 |
| 2014 August | 72 | 0 | 72 |
| 2014 July | 73 | 0 | 73 |
| 2014 June | 77 | 0 | 77 |
| 2014 May | 83 | 0 | 83 |
| 2014 April | 72 | 0 | 72 |
| 2014 March | 71 | 0 | 71 |
| 2014 February | 59 | 0 | 59 |
| 2014 January | 60 | 0 | 60 |
| 2013 December | 53 | 0 | 53 |
| 2013 November | 52 | 0 | 52 |
| 2013 October | 53 | 0 | 53 |
| 2013 September | 63 | 0 | 63 |
| 2013 August | 60 | 0 | 60 |
| 2013 July | 71 | 0 | 71 |
| 2013 June | 52 | 0 | 52 |
| 2013 May | 54 | 0 | 54 |
| 2013 April | 31 | 0 | 31 |
| 2013 March | 16 | 0 | 16 |
| 2000 January | 2968 | 0 | 2968 |
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